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While this mechanism can result in weight loss, it can also lead to gastrointestinal side effects such as: Nausea Diarrhea Vomiting Bloating Abdominal pain Constipation Sulfur burps (foul, rotten-egg-smelling burps) Acid reflux These adverse effects can be worsened if you overeat past the point of feeling full

Basically a study looked at 100 drugs & found that 90% of them were fully potent 15 years after their expiration date, though that may vary by drug, and perhaps liquid forms are a bit more vulnerable (perhaps)